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Titolo:
POSITRON EMISSION TOMOGRAPHY - COMPARISON OF CLINICAL UTILITY IN TEMPORAL-LOBE AND EXTRATEMPORAL EPILEPSY
Autore:
RADTKE RA; HANSON MW; HOFFMAN JM; HEINZ ER; WALCZAK TS; LEWIS DV; COLEMAN RE; FRIEDMAN AF;
Indirizzi:
DUKE UNIV,MED CTR,DIV NEUROL,POB 3678 DURHAM NC 27710 DUKE UNIV,MED CTR,DIV NUCL MED DURHAM NC 27710 DUKE UNIV,MED CTR,DIV NEURORADIOL DURHAM NC 27710 DUKE UNIV,MED CTR,DIV NEUROSURG DURHAM NC 27710
Titolo Testata:
Journal of epilepsy
fascicolo: 1, volume: 7, anno: 1994,
pagine: 27 - 33
SICI:
0896-6974(1994)7:1<27:PET-CO>2.0.ZU;2-S
Fonte:
ISI
Lingua:
ENG
Soggetto:
COMPLEX PARTIAL SEIZURES; ORIGIN; CT; METABOLISM; EEG; PET; MR;
Keywords:
EPILEPSY; POSITRON EMISSION TOMOGRAPHY; MAGNETIC RESONANCE IMAGING;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
24
Recensione:
Indirizzi per estratti:
Citazione:
R.A. Radtke et al., "POSITRON EMISSION TOMOGRAPHY - COMPARISON OF CLINICAL UTILITY IN TEMPORAL-LOBE AND EXTRATEMPORAL EPILEPSY", Journal of epilepsy, 7(1), 1994, pp. 27-33

Abstract

Sixty consecutive patients admitted for possible surgical treatment of intractable epilepsy underwent F-18-fluorodeoxyglucose (FDG) positron emission tomography (PET) as part of a standardized presurgical protocol. Patients were classified as having temporal lobe or extratemporal epilepsy based on all available information excluding PET. Of 35 patients categorized as having temporal lobe epilepsy, 27 (77%) had unilateral temporal lobe hypometabolism that always correlated with electrophysiologic localization of the seizure focus. In 19 patients categorized as having extratemporal epilepsy, only six (32%) had an abnormal PET study and in only one patient did PET assist in subsequent localization of the seizure focus. Four patients with extratemporal epilepsy had falsely localizing information obtained on PET. The results of thisstudy demonstrate that PET is of less clinical utility in the presurgical evaluation of patients with extratemporal epilepsy as compared topatients with temporal lobe epilepsy.

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Documento generato il 27/10/20 alle ore 05:29:20